BERNARDINO OCTAVIO ELIZONDO D.D.S. P.C.
NPI: 1851404420
· SAN BENITO, TX 78586
· Dentist
· NPI assigned 08/16/2006
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
50 |
$493.75 |
| 2022 |
158 |
$2K |
| 2023 |
198 |
$2K |
| 2024 |
108 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
73 |
73 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
103 |
103 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
119 |
60 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
63 |
63 |
$741.04 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$658.56 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$380.71 |
| D0603 |
|
132 |
132 |
$0.00 |